Practice, 4th Edition. By Kathleen Wheeler. All Chapters, 1 to 20
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, Chapter 1. The Nurse Psychotherapist and a Framework for Practice
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Question 1 gh
The nurses new job description at the generalist level of practice reflects the definition of psychiatricmental
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lth nursing and the PsychiatricMental Health Nursing Standards of Practice (ANA, APNA, ISPN). In which
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f the following areas might the nurse plan programs and intervention to fulfill employment expectations?
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Standard Text: Select all that apply. gh gh gh gh gh
1. Stress management strategies gh gh
2. Early diagnosis of psychiatric disorders
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3. Parenting classes for new parents gh gh gh gh
4. Family and group psychotherapy gh gh gh
5. Medication teaching for anti-anxiety medications gh gh gh gh
Correct Answer: 1,3,4,5 gh gh
Rationale 1: Stress management strategies address health, wellness, and care of mental health problems
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and are appropriate for psychiatricmental health nursing at the generalist level of practice.
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Rationale 2: Early diagnosis of psychiatric disorders is generally not consistent with the definition or
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actice of psychiatricmental health nursing especially at the generalist level.
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Rationale 3: Parenting classes for new parents provide teaching that is consistent with the prevention of
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mental health problems and is consistent with psychiatricmental health nursing at the generalist level of
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ctice.
Rationale 4: Family and group psychotherapy is consistent at the advanced practice registered nurse level but
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not the generalist level.
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, Rationale 5: Medication teaching for anti- gh gh gh gh gh
anxiety medications promotes quality of care for persons with
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tricmental health nursing practice at the generalist level of
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Global Rationale: Cogniti gh g h
ve Level: Applying
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Client Need: Psychosocial Integrity gh gh gh
Client Need Sub: gh gh
Nursing/Integrated Concepts: Nursing Process: Planning gh gh gh gh
Learning Outcome: Apply knowledge of current practice and professional performance standards to the
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livery of contemporary psychiatricmental health nursing.
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Question 2 Typ gh g h
e: MCSA gh
The nurse is serving on a committee charged with reviewing the roles and responsibilities of the nurses on
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the psychiatric unit. Which publication should the nurse bring to the first meeting?
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1. Diagnostic and Statistical Manual of Mental Disorders gh gh gh gh gh gh
2. American Nurses Credentialing Center certification requirements gh gh gh gh gh
3. American Nurses Association, Code of Ethics gh gh gh gh gh
4. PsychiatricMental Health Nursing Standards of Practice gh gh gh gh gh
Correct Answer: 4 gh gh
Rationale 1: The PsychiatricMental Health Nursing Standards of Practice delineates psychiatricmental health
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h nursing roles and functions and serves as guidelines for providing quality care. The Diagnostic and Statistical
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g h Manual of Mental Disorders is used by the mental health care team, particularly the psychiatrist, to diagnose
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g h clients with mental disorders and is not specific to nursing care issues. The Code of Ethics helps to clarify rig
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ht g h and wrong actions by the nurse, but does not clarify roles and nursing care actions. Certification requireme
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nts g h outline steps toward certification that acknowledge knowledge and expertise, but do not delineate roles an
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d g h responsibilities.
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